Medica Plus LTD

Medica Plus LTD was paid $407K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 44% of everything it billed.

33Billing provider infoMEDICA PLUS LTD
WARRENSVILLE HEIGHTS, OH 44122

33aNPI1013947365assigned 07/03/2006

33bProvider typeInternal Medicine Physician

28Total paid$407K

24GClaims14,885

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#105 of 663

Median peer was paid$17K

This provider vs. median23×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,738	$65K
2019	2,530	$53K
2020	2,429	$59K
2021	2,160	$58K
2022	1,623	$53K
2023	2,096	$66K
2024incomplete	1,309	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	44%	3,058	2,785	$179K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	39%	8,946	2,891	$161K
99239	Hospital discharge day management, more than 30 minutes	6.5%	838	765	$26K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.3%	524	322	$13K
99220		1.7%	130	123	$7K
99308	Subsequent nursing facility care, per day, straightforward	1.4%	490	310	$6K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	184	173	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	225	196	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	321	134	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	61	49	$2K
99225		<1%	83	54	$1K
99217		<1%	25	25	$706.23

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMANOLACHE, PETRICA (OWNER)